Agenda and minutes

There were no declarations of interest.

Minutes attached.

Delegated decision:

That the Minutes of the meeting of the Health and Wellbeing Board held on Thursday 9^th April 2015, be approved as a correct record and signed by the Chair.

Forward plan attached.

The Executive Director Communities and Wellbeing reported that Lyn Romeo Chief Social Worker, Adults had recently visited Bury Council.  Ms. Romeo met with social care and social work practitioners, service users and other colleagues.  Ms.Romeo reported that the visit had been very successful and memorable.

The Director of Public Health reported that Duncan Selbie, Chief Executive, Public Health England had recently visited the Borough, he too was very impressed and a report following his meeting will be considered at a future meeting of the health and wellbeing board.

Julie Gallagher, Democratic Services referred members to the draft forward plan for the Health and Wellbeing Board 2015/16.  Democratic Services reported that the document is a working document and Member and partner organisations can add additional items.

                Delegated decision:

That the forward plan be noted.

There were no questions from Members of the Public present at the meeting.

A report from the Democratic Service Officer, Julie Gallagher is attached.

Julie Gallagher, Democratic Services reported that following discussions with the Leader of the Council, it was agreed at Annual Council, that the Councillor representation on the Health and Wellbeing Board be reviewed.

                The Health and Social Care Act 2012 requires Unitary authorities to establish Health and Wellbeing Boards.  The Act sets a core membership that health and wellbeing boards must include.  Democratic Services reported that the neighbouring authorities have the following Councillor representation on their health and wellbeing board: Oldham, 6 Councillors; Rochdale, 4 Councillors and Bolton, 7 Councillors.

                Democratic Services reported that it is proposed that the terms of reference be amended to include, an additional two Elected Members.

                Stuart North, Chief Operating Officer, Bury CCG reported that he supported the proposed increase.

                Delegated Decision:

1.   That the Health and Wellbeing Board Membership be increased to four Councillors, appointed annually at annual council.

2.   Following discussions at the Health and Wellbeing Board that the Chief Executive in consultation with the Leaders of the political groups agrees to the increase the Councillor representation on the Health and Wellbeing Board.

The Executive Director Communities and Wellbeing and the Bury CCG Chief Officer will report at the meeting.

Members discussed the development of the proposals for Devolution Greater Manchester. 

The Chief Operating Officer Bury CCG reported that at a recently held Primary Care summit there was agreement to continue to develop seven day access to primary care from 8am until 8pm, with four hubs in Bury.

The Executive Director, Communities and Wellbeing reported that whilst she welcomed the initiative this will only be successful if done in conjunction with social care partners.

Rob Bellingham, NHS England reported that the primary care summit had been a very successful event.  Devolution Greater Manchester will result in £750 million of primary care funding being transferred to Greater Manchester from central government.

In response to a Board Member’s question, the Chief Operating Officer Bury CCG reported that it is only when services are properly integrated with improved access to primary care, will there then be real reductions in A&E attendance.

Dr. Patel, Chair of Bury CCG reported that the Board would have to make bold decisions in relation to service delivery, with finite resources.

Members of the Board discussed the Boroughs locality plan.

It was agreed:

The Bury Locality plan will be considered at a future meeting of the Health and Wellbeing Board.

The Executive Director of Communities and Wellbeing and the Bury CCG Chief Operating Officer will report at the meeting.  Report attached.

The Health and Wellbeing Board considered a verbal presentation from the Executive Director of Communities and Wellbeing.  The report provided information on the national reporting and monitoring requirements for the Better Care Fund Plan.

The National Better Care Fund Task Force issued guidance in March 2015 to Clinical Commissioning Groups, Local Authorities and Health and Wellbeing Boards with reference to the operationalisation of the Better Care Fund plans in 2015-16. This guidance sets out:

·         The Care Act legislation underpinning the Better Care Fund

·         The accountability arrangements and flows of funding

·         The reporting and monitoring requirements for 2015 – 2016

·         Arrangements for the operation of payment for performance framework

·         How progress against plans will be managed and what the escalation process will look like

·         The role of the Better Care Fund Task Force/ Better Care Support team going forward

The quarterly reporting template focuses on the allocation, budget arrangements and national conditions. Data in relation to the agreed local performance metrics and income/expenditure data will be collected as part of the quarterly reporting return due at the end of quarter one 2015-16. An updated template capturing these additional reporting requests will be circulated by the national team in early July.

It was agreed:

1. The Better Care Fund quarterly report for the period 1^st January 2015 to 31^st March 2015 be ratified.

2.  To Delegate the responsibility to the chair of the Board for sign off of future Better Care Fund quarterly reports which will then be brought to the attention of the Health and Wellbeing Board at subsequent meetings.

The Executive Director Children, Young People and Culture will report at the meeting.  Report attached.

The Health and Wellbeing Board considered a verbal presentation from Donna Green, BSCB Development Officer in relation to Child Death Overview Panel Annual Report 2013/14.  The report contained the following information:

In April 2008 Bury, Rochdale and Oldham joined to form a tripartite arrangement following the recommendation made by the Department for Education that CDOPs require a total population of 500,000 or higher.  The joint working of the three local authorities provides a wider data set to conduct analysis and emerging trends.

As a sub group of the Local Safeguarding Board the CDOP reports information and themes back to each of the LSCB via the annual report and on an ad hoc basis.

The report analyses the total number of child deaths reported to the CDOP between 1^ST April 2013 and March 2014, in that time the CDOP received a total notification of 74 child deaths.  With 33 of the 74 child deaths Oldham received the largest number of notifications.

All three of the local authorities found the highest number of deaths occurred in neonates with a joint total of 43% of the overall deaths.  Of the 37 BME child deaths, 23 were of Pakistani heritage.

The BCSB Development Officer reported that the report findings should be used to inform local strategic planning, including the Joint Strategic Needs Assessment.

The BCSB Development Officer reported that the report highlights the following emerging themes:

·         The disproportionate number of deaths within the BME community

·         Co-ordinating a consistent safe sleeping message and

·         Consanguinity and the associated health risks

In response to a Board member’s question, the BCSC Development Officer reported that a CDOP action plan has been developed.

The Director of Public Health reported that the Starting Well Partnership Group (a sub-group of the Board) will review the issues identified within the report.

The Chief Operating Officer raised concerns with regards to the accuracy of the figures reported in relation to consanguinity. 

It was agreed:

The BCSB Development Officer would provide members of the Board with clarification in relation to the Child Death Overview Panel Annual Report figures on consanguinity.

Rob Bellingham, Director of Commissioning, NHS England will report at the meeting.

Rob Bellingham, NHS England reported that NHS England will no longer attend Health & Wellbeing Board meetings within Greater Manchester.   The Director of Commissioning reported that with the increase of co-commissioning within both primary care and specialised commissioning the principle relationship should now be between NHS England and their local Clinical Commissioning Group. 

                It was agreed:

1.   NHS England would attend for specific items only.

2.   The Health and Wellbeing Board will continue to receive the Quarterly NHS England Commissioning Reports.

3.   Rob Bellingham, Director of Commissioning NHS England will no longer be a member of Bury’s Health and Wellbeing Board.

4.   The Director of Commissioning, NHS England will provide members of the Board with a report which will provide an overview of the role and responsibilities of NHS England.

Bury MBC Social Development Manager Heather Crozier will report at the meeting. Reports attached:

Priority 1 Governance Reports

Priority 2 Refresh and Governance Reports

Priority 3 Governance Report

Priority 4 Refresh and Governance Reports

Priority 5 Refresh and Governance Reports

Heather Crozier, Health and Wellbeing Board Policy Lead provided members of the Board with an update in relation to the HWB strategy refresh.  The following reports had been circulated to members for their consideration:

               Priority one governance report

               Priority two refresh and governance report

               Priority three governance report

               Priority four refresh and governance report

               Priority five refresh and governance reports

               Members discussed the refreshed strategy.  Bury is the first Board to refresh its strategy within Greater Manchester and the work undertaken as part of this process will support the future development of the Devolution Greater Manchester proposals and locality plan.

               In response to a Board members question, the Executive Director Communities and Wellbeing reported that in relation to concerns raised about residents suffering due to welfare reform, this will be addressed via the Poverty strategy and monitored through the Housing Strategy Programme Board.

               It was agreed:

1.   Members of the Board agree the proposed refreshed priority and governance arrangements.

2.   The refreshed Health and Wellbeing Strategy will be considered at the next meeting of the Health and Wellbeing Board due to be held on 16^th July 2015.

It was agreed:

               The External Review report into the provision of Pennine Acute NHS Trust maternity services will be considered at the next meeting of the Health and Wellbeing Board.